Organization
CARDIOVASCULAR HEALTH CONSULTANTS PA
Active
Organization
CARDIOVASCULAR HEALTH CONSULTANTS PA
Active
Other names
North Florida Heart
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON T GREEN MD (PHYSICIAN)
(352) 332-5755
Entity
Organization
Contact information
Practice address
13575 NW 1ST LN STE 20, NEWBERRY, FL 32669-3735
(352) 332-5755
(855) 964-1167
Mailing address
13575 NW 1ST LN STE 20, NEWBERRY, FL 32669-3735
(352) 332-5755
(855) 964-1167
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24544
BLUE CROSS BLUE SHIELD
FL
01
—
DG3096
RAILROAD MEDICARE
—
01
—
S1027207
AVMED GROUP
FL
Enumeration date
05/30/2006
Last updated
11/08/2024
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